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Mandatory Health Insurance: Is It Constitutional?

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Many policy makers and researchers believe that voluntary cost pooling of employees across small firms will make insurance affordable to these firms. This is possible because, on average, expected costs of employees at small firms are only slightly higher than large firms. We show that risk pooling across firms may not work as well as this conventional wisdom would suggest, because of large between-firm heterogeneity in employee characteristics at small firms. Even if a fair average premium is charged, risk pooling will be inadequate to induce many small-to-medium-sized firms with favorable health-cost distributions or low preferences for insurance to purchase insurance. This adverse selection problem is further...
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Mandatory Health Insurance: Is It Constitutional?

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